The
National Organization of Vascular Anomalies Presents the
2005
Family Conference
Hemangioma and Vascular Malformations:
More Than a Birthmark
Friday June 24, 2005 – Sunday June 26, 2005
Sheraton Imperial Hotel and Conference Center
Research Triangle, NC
Medical Faculty:
Denise Adams, MD Pediatric
Hematology/Oncology, Cincinnati, OH
Sherry Bayliff, MD Pediatric
Hematology/Oncology, Lexington, Kentucky
Francine Blei, MD Pediatric
Hematology/Oncology, New York, NY
Steven J. Fishman MD Pediatric
Surgery, Boston, Massachusetts
M. Sean Freeman, MD Plastic Surgery,
Charlotte, NC
Maria Garzon, MD Dermatology, New York, NY
John Gregory, MD Pediatric
Hematology/Oncology, Hackensack, NJ
Charles James, MD Interventional
Radiology, Little Rock, AK
Doug Marchuk, PhD Medical Genetics,
Durham, NC
Martin Mihm, MD Dermato-pathology,
Boston, MA
John Mulliken, MD Plastic Surgery,
Boston, MA
John Reinisch, MD Plastic Surgery,
Los Angeles, California
Milton Waner, MD Otolaryngology, New
York, NY
Our clinical team of nationally
renowned physicians will present information on the diagnosis and treatment of
hemangioma and vascular malformations.
The most current medical information will be presented. The physicians will be available for
personal consultations. Consultations
are by appointment only on a first come basis.
Advanced registration is required.
Travel Arrangements should be made
through the Raleigh/Durham International Airport.
Arrange Hotel Accommodations
through the Imperial Hotel and Conference Center
(919)941-5050. Rooms need to be reserved under NOVA guest
for the discounted rate.
Friday June 24, 2005:
3:00
pm Registration and
Welcome and Reception
Saturday June 25, 2005
8:00
am -1:00pm Seminar Presented by
our Guest Faculty
2:00
pm - Medical Clinic
Sunday June 26, 2005
7am – 8 am Prayer and Dedication Service
8am-10am Breakfast Buffet &
Closing Reception
Don’t miss
this opportunity to learn and share with people that are dedicated to this
field!
For More information on the
conference and patient clinic contact
NOVA
PO Box
0358 Findlay OH 45840
Email:
hemangnews@msn.com
The National Organization of Vascular Anomalies
2005 Family Conference
Hemangioma and Vascular Malformation:
More than a Birthmark
Name of Patient
Registering:____________________________________________________
Telephone:_________________________Email:____________________________________
Address:____________________________________________________________________
Number of People to
attend conference on ___________
Names of people to attend conference: include date of birth if under 18:
__________________________________ _______________________________
.________________________________ _______________________________
_________________________________ _______________________________
Do you want the
patient to be seen by the physicians in a clinical setting?___________
If yes please include
a $25.00 registration processing fee for each registering patient.
- Note: During the Saturday Mooring Seminar Session no children will
be permitted in the auditorium. We
encourage you to bring a babysitter for the seminar session. NOVA will not be providing childcare.
·
NOVA cannot guarantee consultations with any
particular physician. Please do not
contact the physician’s offices regarding patient appointments for the
conference.
Please
Return Registration to:
NOVA
PO Box
0358 Findlay OH 45840
Email:
hemangnews@msn.com
Attach recent photo here.
2005 Hemangioma & Vascular
Malformation
Annual Family Conference
“Hemangioma and Vascular
Malformation: More than a Birthmark
Patient Registration for
Clinical Appointment
Name
of Registered Patient:_________________________ Date of Birth_________
Telephone:_________________________Email:____________________________
Address:____________________________________________________________
Name
of Parent or Guardian if
minor:______________________________________________________________
Diagnosis
of Vascular Anomaly:___________________________________________________________
Location
of Vascular Anomaly:___________________________________________________________
Name
& Address of Primary Care
Physician:__________________________________________________________
___________________________________________________________________
Please provide a brief history of the vascular anomaly and all treatment to date, attach any relative medical reports and a recent picture of the lesion. Use additional paper if needed. If you have X-ray or MRI films bring them to the conference. Return with a color photo of lesion and serial photos demonstrating changes in the lesion until present.
Official
use only: Date
Received in office: _____ Registration
#____________ Appointment
time__________ Team
Assignment___________
Return to: NOVA PO Box 0358 Findlay, OH 45840 or fax 419-425-1593
Email hemangnews@msn.com